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Yes. Your FEHB or DC Health Link health coverage with the House of Representatives as your employer will terminate at the end of the month in which your employment terminates. You will need to enroll in a DC Health Link plan with the Senate as your employer in order to continue/begin coverage under DC Health Link. You should be conscious of gaps in coverage and inquire of your losing employer on your TCC needs/rights.

When using the OPM Premium Contribution Calculator, you need to choose either Self or Self+ to determine your monthly premium. These are terms used for purposes of the Premium Contribution Calculator only. These terms indicate whether you are selecting coverage only for yourself (Self enrollment) or for yourself and any other eligible family members (Self+ enrollment).

Members of Congress and designated staff will choose from plans on the Gold Metal Level of the DC Health Link. While all plans have the same “essential health benefits” (EHB), plans vary in copays, coinsurance, deductibles, and benefits beyond the EHB. Plans include fee-for-service, HMOs, Point of Service, and HSA-compatible plans.

The purpose of the 31-day extension is to provide time for enrollees to select another health plan when their current OPM-contracted FEHB coverage is terminated. If you choose not to enroll in an employer-sponsored health benefits plan via the DC Health Link, an additional 31 days of coverage is included at no cost to you after the date that your OPM-contracted FEHB enrollment is terminated. If you DO choose to enroll in an employer-sponsored health benefits plan via the DC Health Link with a government contribution, your DC Health Link enrollment the 31-day extension of coverage will not apply.

DC Health Link offers health insurance for Members of Congress and designated congressional staff through four carriers – Aetna, Carefirst BCBS, Kaiser Permanente, and United Health Care. Each carrier offers a variety of plan options. For the total number of plans available, please visit www.DCHealthLink.com.

After the end of the 31-day extension of your FEHB plan coverage, you will no longer have health insurance with a Government contribution. Failing to enroll in a SHOP health plan will also result in a break in coverage that may preclude you from being able to enroll in a FEHB-contracted plan at the time of retirement. You may be able to enroll after Open Enrollment if you experience a Qualifying Life Event. Please contact your administrative office for more information.

The open enrollment period for Members of Congress and designated staff enrolling in DC Health Link will be the same as the FEHB Open Season, which runs from mid-November until mid-December each year. In addition, Members of Congress and designated congressional staff will be allowed to enroll or make enrollment changes upon being hired or within 30 days upon experiencing a Qualifying Life Event (QLE).

Once open enrollment begins, you can sign up for coverage at www.DCHealthLink.com. If you are a new hire, you may enroll within 30 days of the date you are notified by your administrative office that you have been entered in the DC Health Link system.

Yes. The DC Health Benefit Exchange Authority will post a PDF of each SBC for plans available on the DC Health Link at www.DCHealthLink.com. These SBCs will be posted prior to open enrollment, which begins in mid-November.

The government contribution will be based on the same formula used for other federal employees. The government contribution equals the lesser of: (1) 75% of the total premium for the particular SHOP plan an enrollee selects ; or (2) 72% of amounts OPM determines are the FEHB program-wide weighted average of premiums in effect each year, for Self Only and for Self and Family enrollments.